Bozarth, Michelle Kathleen

Bozarth, Michelle Kathleen is an individual health care provider with primary practice located at 12200 Warwick Blvd Suite 410, Newport News VA 23601-2344. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Bozarth, Michelle Kathleen can be contacted via phone (757) 534-5200.

Contact Information

Primary practice address
12200 Warwick Blvd Suite 410 Newport News VA 23601-2344
Phone: (757) 534-5200
Fax: (757) 534-5830
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0110002536 Virginia

Profile Details

NPI number 1386847333
LBN Legal business name Bozarth, Michelle Kathleen
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Sep 30th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386847333 NPPES
Virginia MEDICAID 1386847333

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